Blood flow control to the brain throughout a resistance training intervention in women

ISRCTN ISRCTN38725877
DOI https://doi.org/10.1186/ISRCTN38725877
Submission date
22/07/2025
Registration date
29/07/2025
Last edited
29/07/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study is exploring how different types of resistance training (like lifting weights) might affect blood flow to the brain. Past research suggests that people who regularly do resistance training may experience changes in their blood vessels, which could influence how blood flows in the brain. The researchers want to compare two types of training: one using heavy weights with fewer repetitions, and another using lighter weights with more repetitions. They’ll use imaging tools to measure brain blood flow before, during, and after the training.

Who can participate?
The study is looking for young, healthy women who meet certain health and fitness criteria. There are some medical conditions and medications that would prevent someone from taking part, to ensure safety.

What does the study involve?
Participants will be assigned to one of two resistance training programs. They’ll have their brain blood flow measured using imaging tools at three points: before training starts, during the training period, and two weeks after the training ends. All exercise sessions will be supervised to ensure safety.

What are the possible benefits and risks of participating?
There are some small risks related to physical activity, but these will be minimized through health screenings and supervision. A possible benefit is that participants may develop healthy exercise habits that continue after the study ends.

Where is the study run from?
McMaster University (Canada)

When is the study starting and how long is it expected to run for?
September 2024 to May 2026

Who is funding the study?
The study is funded by the Natural Sciences and Engineering Research Council of Canada (NSERC).

Who is the main contact?
Lead student investigator, Vanessa Mizzi, mizziv@mcmaster.ca
Lead principal investigator, Dr Baraa Al-Khazraji, alkhazrb@mcmaster.ca

Contact information

Dr Baraa Al-Khazraji
Scientific, Principal Investigator

1280 Main St W
Hamilton
L8S 4L8
Canada

ORCiD logoORCID ID 0000-0003-1075-4183
Phone +1 9055259140
Email alkhazrb@mcmaster.ca
Ms Vanessa Mizzi
Public

1280 Main St W
Hamilton
L8S 4L8
Canada

ORCiD logoORCID ID 0009-0006-9483-0364
Phone +1 9055259140
Email mizziv@mcmaster.ca

Study information

Study designSingle-centre interventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Participant information sheet Not available in web format. Please use contact details to request a participant information sheet.
Scientific titleCerebral blood flow control in women during a ten week, two paradigm resistance training intervention
Study acronymCCRE
Study objectivesAlthough studies have shown that resistance exercise affects the vasculature, the time course of cerebrovascular adaptations throughout a resistance exercise training intervention and following cessation of resistance exercise (i.e., detraining) is unknown. As well, it remains unknown whether resistance exercise intensity influences cerebral blood flow control and effects of detraining on cerebral blood flow control. This study aims to investigate the effect of two resistance training paradigms (low load vs high load) on cerebral blood flow control over the course of a ten-week intervention and two weeks post-training cessation (i.e., detraining) in women. It is hypothesized that cerebral blood flow control will improve over the course of the resistance training intervention. It is also hypothesized that after training cessation, vascular adaptations would trend towards pre-intervention levels. Lastly, it is hypothesized that the females undergoing lower load or higher load groups would show similar cerebral blood flow control since both groups are training to volitional failure.
Ethics approval(s)

Approved 21/04/2025, Hamilton Integrated Research Ethics Board (237 Barton Street East, Hamilton, L8L 2X2, Canada; +1 9055212100; eREBHelpdesk@hhsc.ca), ref: 18711

Health condition(s) or problem(s) studiedStudying cerebrovascular health in relation to resistance exercise in young, healthy women
InterventionThis is a randomized control trial that evaluates cerebral blood flow control during a ten-week resistance training intervention.

Participants will be randomized to either a heavy-lifting group (able to perform 8-12 repetitions /set to volitional failure) or a light-lifting group (able to perform 15-25 repetitions/set to volitional failure). They will perform 10 weeks of resistance exercise training, training twice weekly. They will also be asked to cease training for two weeks post intervention, to assess detraining effects. The researchers will take various measurements vascular characteristics and the cerebral-pressure flow relationship pre-intervention, throughout the intervention, and post- intervention.

The randomisation process for the intervention was completed using an online tool (www.sealedenvelope.com). We used the block randomisation feature to ensure balanced allocation across groups. The system generated the randomisation codes, which were then used to assign participants accordingly.
Intervention typeBehavioural
Primary outcome measureCerebral-pressure flow relationship measured using a continuous blood pressure finger cuff and a transcranial doppler ultrasound at weeks 1-10, 12 during the leg press set.
Secondary outcome measures1. Cerebrovascular reactivity measured using the Douglas bag at weeks 1-10, 12
2. Vascular characteristics (pulse wave velocity, distensibility, global cerebral blood flow, flow mediated dilation) using tonometers and Duplex ultrasound at week 0, 10, and 12.
3. Fatigue characteristics (questionnaires, rating of perceived exertion, lactic acid concentration) measured using questionnaires, verbal ratings, and Nova Biomedical Lactate Plus Meter at weeks 1-10, 12.
Overall study start date10/09/2024
Completion date05/05/2026

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit35 Years
SexFemale
Target number of participants52
Key inclusion criteria1. Young, healthy females aged 18-35 years
2. Must be able to maintain a habitual diet and perform resistance exercise two times per week throughout the trial
3. Must be able to perform exercise twice weekly
4. Able to begin exercise (assessed by Get Active Questionnaire)
5. Understand the study procedures and sign this form providing informed consent to participate in the study
Key exclusion criteria1. Pregnancy
2. Mild traumatic brain injury in the last year
3. Any history of severe traumatic brain injury
4. Cardiovascular conditions
5. Cerebrovascular conditions
6. Neurological conditions
7. Metabolic syndrome
8. History of syncope or light-headedness
9. History of migraines or chronic headache
10. Respiratory illnesses
11. Diabetes
12. Claustrophobia
13. Any current musculoskeletal injury that would make resistance exercise difficult or unsafe
14. History of psychosis
15. Eating disorders
16. Manic or bipolar disorder
17. Major psychiatric conditions
18. Dependence on alcohol or drugs within the past year
19. Use of medications known to affect protein metabolism, including:
19.1. Corticosteroids
19.2. Non-steroidal anti-inflammatory drugs (prescription or daily over-the-counter use)
19.3. Prescription-strength acne medications
20. Use of anabolic steroids or other banned performance-enhancing substances as outlined by the Canadian Center for Ethics in Sport
Date of first enrolment20/05/2025
Date of final enrolment12/01/2026

Locations

Countries of recruitment

  • Canada

Study participating centre

McMaster University
1280 Main St W
Hamilton
L8S 4L8
Canada

Sponsor information

McMaster University
University/education

The Office of the Vice-President, Research
Gilmour Hall, Room 208, McMaster University
Hamilton
L8S 4L8
Canada

Phone +1 (905) 525-9140 ext. 27270
Email vprsrch@mcmaster.ca
ROR logo "ROR" https://ror.org/02fa3aq29

Funders

Funder type

Research council

Natural Sciences Engineering Research Council

No information available

Results and Publications

Intention to publish date01/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are that all data will be made publicly available upon reasonable request from the PI, Dr. Baraa Al-Khazraji (alkhazrb@mcmaster.ca).

Editorial Notes

23/07/2025: Trial's existence confirmed by Hamilton Integrated Research Ethics Board.